Anthony Medical Center is approximately the same in all age groups. The largest group of admission are those ages 0 to 64 years, with the majority of those patients are under 44 years. This data suggests the possibility of increased poverty in St. Anthony’s service area and patients that have less access to care (CDC, 2017). For patients over 65 years, there is fluctuations in admissions that is suggestive of a higher readmission rate for this group of patients. Readmission are a concern for organizations since in 2010, CMS began finically penalizing hospitals for readmission within 30-days of discharge.
The nationwide shortage is due to unexpected demand for the medication and manufacturing interruptions related to factory upgrades, repairs, and rebuilding from last year’s hurricane season (American Society of Health-System Pharmacists [ASHP], 2018). The shortage of Fentanyl has negatively affected the healthcare industry’s ability to provide adequate labor patient pain control and other patient pain that requires Fentanyl (ASHP, 2018; Daniel S. Orlovich, 2014; U.S. Food and Drug Administration [FDA], 2018) The healthcare organizations understand the shortage and rationing of the medication. However, the patient does not always comprehend or appreciate the limited supply of medication and just wants to have their pain controlled (Daniel S. Orlovich, 2014). This is true for the LDU patients. Many patients have expressed their dissatisfaction with not receiving an epidural early in labor.
Professional nursing associations are rarely marketed to staff members, which can lead to decreased membership in the long run. • Elevated Costs- “A major challenge faced by associations today is increasing their membership when current and potential members are careful in how they spend their money and time” (Huston, 2017, p. 390). • Nursing Shortage- With there being a nursing shortage in the medical field today that means there are not as many people even available to join. 2.) Using these
Latina women tend to have limited access to updated health care information, limited to no health care coverage, and low socioeconomic status that all ultimately affects their access to appropriate screening and preventative services (Monroy, 2017). Language barriers and lack of cultural competency also propose challenges regarding proper care. While pap smears prove to be an excellent method to detect cancerous cells, Latina women commonly miss this key test due to the cultural practices that reject gynecological health care (Saenz, 2004). These social determinants pose health inequity for these women. Fortunately, vast amount of efforts and interventions have been presented to fix these issues.
Callaghan (2015) highlighted that asylum seekers are mainly known as a group of people who has complex health and social care needs in the ward. This could be linked to lack of deprive healthy lifestyle information or understanding due to higher level of non English speaking population in the ward. Dahlgren and Whitehead (1991) highlighted those most influencing factors on people’s health can be classed into physical, behavioural factors, biological, social and environment. For example life style choices such as smoking can be avoided whiles biological factors such as cancer is past people’s control. In addition Liz (2015), found that 71% of the people in the ward suffer poor health such as respiratory and diabetes whiles 46% are affected by mental health illness compared to overall Leeds 12%.
This can be seen a lot in hospital settings where it is either nurse on nurse or even nurse against doctors. Physicians can at times regard other members of the health care team as less competent or perhaps even incompetent, weak, and vulnerable, seeing themselves as champions for their patients because they have been to medical school (Littlejohn). Many nurses have accepted that workplace violence is a part of everyday work life for them. Meaning instead of teamwork the older nurses look down on the new nurses and instead of teamwork and helping each other out, they let them fail and fall on their face. Workplace violence can cause harm that you might not even think of on a nurse in dealing with a situation that escalates very quickly leaving them afraid to go to work and leaving emotional and maybe even physical marks.
Through lack of discipline or lack of support, patients often don’t carry out the recommended practice sessions efficiently or not regularly, which can lead to an inevitable loss of rehabilitation success and consequently costly aftercare and unplanned readmission to the hospital . Thus, for rehabilitation after acute diseases, such as joint replacements, movement tracking (e.g. by counting steps) is a first easy way to monitor patient behaviour in the home rehabilitation process. More advanced methods involve the use of 3D sensors for movement analysis during exercises, for example. For patients with chronic diseases, which account for the biggest part of readmissions to the hospital, the monitoring of simple values can heavily support the pre-emptive detection of patient deterioration.
while volunteering and shadowing physicians in central Maine hospitals, I gained an appreciation for the social determinants of health. I met many patients who suffered from chronic conditions that should have been very manageable; however, due to their lack of both insurance and health literacy, these patients suffered unnecessarily as their diseases grew out of hand and forced them to undergo surgical procedures that drastically
One of the reasons for immigration is better pay and working conditions abroad compared to Ireland. With cut backs to the health service nurses here are underpaid and overworked. At the moment a lot of Irish hospitals rely on nurses and doctors from abroad and this is a problem especially with language, especially for our older generation as they find it difficult to communicate with people from the ethnic community. Also other staff members can find this is a problem if our co workers don’t have good English. At the moment the HSE are offering attractive packages for Irish nurses to return home to work in Hospitals
Another barrier to quality improvement is a lack of leadership and training. There is a nursing shortage especially a gerontology nursing shortage which makes it much more difficult to get all of the staff on board and no time to get quality improvement done correctly if the staff is already spread so thin. By creating more time in nursing school for geriatric training there will be more staff on hand to take care of the patients and do the best quality improvements possible for the patients. The staff also needs to be recognized more for all of their